{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:30:02Z","timestamp":1791822602225,"version":"4.3.4"},"reference-count":73,"publisher":"BMJ","issue":"6","funder":[{"DOI":"10.13039\/100000865","name":"Bill and Melinda Gates Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000865","id-type":"DOI","asserted-by":"publisher"}]},{"name":"WHOs Department of Reproductive Health and Research through the Special Programme of Research, Development and Research Training in Human Reproduction"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2017,4,11]]},"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To assess the scope of the published literature on the consequences of maternal morbidity on health-related functioning at the global level and identify key substantive findings as well as research and methodological gaps.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We searched for articles published between 2005 and 2014 using Medline, Embase, Popline, CINAHL Plus and three regional bibliographic databases in January 2015.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Systematic scoping review<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary outcome<\/jats:title>\n                    <jats:p>Health-related functioning<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After screening 17\u2009706 studies, 136 articles were identified for inclusion. While a substantial number of papers have documented mostly negative effects of morbidity on health-related functioning and well-being, the body of evidence is not spread evenly across conditions, domains or geographical regions. Over 60% of the studies focus on indirect conditions such as depression, diabetes and incontinence. Health-related functioning is often assessed by instruments designed for the general population including the 36-item Short Form or disease-specific tools. The functioning domains most frequently documented are physical and mental; studies that examined physical, mental, social, economic and specifically focused on marital, maternal and sexual functioning are rare. Only 16 studies were conducted in Africa.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Many assessments have not been comprehensive and have paid little attention to important functioning domains for pregnant and postpartum women. The development of a comprehensive instrument specific to maternal health would greatly advance our understanding of burden of ill health associated with maternal morbidity and help set priorities. The lack of attention to consequences on functioning associated with the main direct obstetric complications is of particular concern.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review registration<\/jats:title>\n                    <jats:p>CRD42015017774<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2016-013903","type":"journal-article","created":{"date-parts":[[2017,7,17]],"date-time":"2017-07-17T14:51:31Z","timestamp":1500303091000},"page":"e013903","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":41,"title":["Consequences of maternal morbidity on health-related functioning: a systematic scoping review"],"prefix":"10.1136","volume":"7","author":[{"given":"Kazuyo","family":"Machiyama","sequence":"first","affiliation":[{"name":"Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsumi","family":"Hirose","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny A","family":"Cresswell","sequence":"additional","affiliation":[{"name":"Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Barreix","sequence":"additional","affiliation":[{"name":"Department of Reproductive Health and Research, World Health Organization, UNDP\/UNFPA\/UNICEF\/WHO\/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doris","family":"Chou","sequence":"additional","affiliation":[{"name":"Department of Reproductive Health and Research, World Health Organization, UNDP\/UNFPA\/UNICEF\/WHO\/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nenad","family":"Kostanjsek","sequence":"additional","affiliation":[{"name":"Department of Health Statistics and Informatics, World Health Organization, Classification, Terminology and Standards, Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lale","family":"Say","sequence":"additional","affiliation":[{"name":"Department of Reproductive Health and Research, World Health Organization, UNDP\/UNFPA\/UNICEF\/WHO\/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V\u00e9ronique","family":"Filippi","sequence":"additional","affiliation":[{"name":"Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,6,30]]},"reference":[{"key":"2025120618364268000_7.6.e013903.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31533-1"},{"key":"2025120618364268000_7.6.e013903.2","doi-asserted-by":"crossref","unstructured":"Filippi V , Chou D , Ronsmans C , et al . \u00a0Level and causes of maternal mortality and morbidity. In: Black RE LL , Walker N , Temmerman M , eds. Disease control priorities\u00a03rd ed vol 2\u00a0Reproductive, maternal, newborn and child health. Washington, DC: World Bank, 2016.","DOI":"10.1596\/978-1-4648-0348-2_ch3"},{"key":"2025120618364268000_7.6.e013903.3","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(13)70001-9"},{"key":"2025120618364268000_7.6.e013903.4","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1186\/s12884-015-0789-4","article-title":"Constructing maternal morbidity - towards a standard tool to measure and monitor maternal health beyond mortality","volume":"16","author":"Chou","year":"2016","journal-title":"BMC Pregnancy Childbirth"},{"key":"2025120618364268000_7.6.e013903.5","unstructured":"WHO. Strategies toward ending preventable maternal mortality (EPMM)). Geneva: WHO, 2015."},{"key":"2025120618364268000_7.6.e013903.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31460-X"},{"key":"2025120618364268000_7.6.e013903.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2014.12.041"},{"key":"2025120618364268000_7.6.e013903.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)61340-X"},{"key":"2025120618364268000_7.6.e013903.9","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.13.117564"},{"key":"2025120618364268000_7.6.e013903.10","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/1471-2288-4-16","article-title":"WHO systematic review of maternal mortality and morbidity: methodological issues and challenges","volume":"4","author":"G\u00fclmezoglu","year":"2004","journal-title":"BMC Med Res Methodol"},{"key":"2025120618364268000_7.6.e013903.11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2004.40097.x"},{"key":"2025120618364268000_7.6.e013903.12","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(99)00439-1"},{"key":"2025120618364268000_7.6.e013903.13","unstructured":"Wilkins C . Emotional processing in childbirth: a longitudinal study of women\u2019s management of emotions during pregnancy and the association with postnatal depression. [PhD thesis]. Bournemouth University 2012."},{"key":"2025120618364268000_7.6.e013903.14","first-page":"209","article-title":"Changes in functional health status during normal pregnancy","volume":"47","author":"Hueston","year":"1998","journal-title":"J Fam Pract"},{"key":"2025120618364268000_7.6.e013903.15","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1590\/S0102-311X2011000200003","article-title":"Physical activity, health-related quality of life and depression during pregnancy","volume":"27","author":"Tendais","year":"2011","journal-title":"Cad Saude Publica"},{"key":"2025120618364268000_7.6.e013903.16","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1080\/03630242.2014.996722","article-title":"Postnatal quality of life, depressive symptoms, and social support among women in southern India","volume":"55","author":"Bodhare","year":"2015","journal-title":"Women Health"},{"key":"2025120618364268000_7.6.e013903.17","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2008.02.004"},{"key":"2025120618364268000_7.6.e013903.18","doi-asserted-by":"crossref","first-page":"1202","DOI":"10.1111\/j.1471-0528.2000.tb11608.x","article-title":"Women\u2019s health after childbirth: a longitudinal study in France and Italy","volume":"107","author":"Saurel-Cubizolles","year":"2000","journal-title":"BJOG"},{"key":"2025120618364268000_7.6.e013903.19","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0042333","article-title":"Productivity cost due to maternal ill health in Sri Lanka","volume":"7","author":"Agampodi","year":"2012","journal-title":"PLoS One"},{"key":"2025120618364268000_7.6.e013903.20","doi-asserted-by":"crossref","first-page":"418","DOI":"10.2471\/BLT.11.094011","article-title":"Mortality after near-miss obstetric complications in Burkina Faso: medical, social and health-care factors","volume":"90","author":"Storeng","year":"2012","journal-title":"Bull World Health Organ"},{"key":"2025120618364268000_7.6.e013903.21","doi-asserted-by":"crossref","first-page":"1406","DOI":"10.1111\/tmi.12586","article-title":"Consequences of severe obstetric complications on women\u2019s health in Morocco: please, listen to me!","volume":"20","author":"Assarag","year":"2015","journal-title":"Trop Med Int Health"},{"key":"2025120618364268000_7.6.e013903.22","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61574-8"},{"key":"2025120618364268000_7.6.e013903.23","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1111\/j.1365-3156.2010.02534.x","article-title":"Effects of severe obstetric complications on women\u2019s health and infant mortality in Benin","volume":"15","author":"Filippi","year":"2010","journal-title":"Trop Med Int Health"},{"key":"2025120618364268000_7.6.e013903.24","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1046\/j.1471-0528.2003.02151.x","article-title":"Postnatal morbidity after childbirth and severe obstetric morbidity","volume":"110","author":"Waterstone","year":"2003","journal-title":"BJOG"},{"key":"2025120618364268000_7.6.e013903.25","doi-asserted-by":"crossref","first-page":"226","DOI":"10.3329\/jhpn.v30i2.11318","article-title":"Consequences of maternal complications in women\u2019s lives in the first postpartum year: a prospective cohort study","volume":"30","author":"Iyengar","year":"2012","journal-title":"J Health Popul Nutr"},{"key":"2025120618364268000_7.6.e013903.26","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1016\/j.wombi.2016.02.002","article-title":"Functional status of women with and without severe maternal morbidity: a prospective cohort study","volume":"29","author":"Norhayati","year":"2016","journal-title":"Women Birth"},{"key":"2025120618364268000_7.6.e013903.27","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1186\/1471-2393-14-347","article-title":"Risk factors for reported obstetric complications and near misses in rural northwest Bangladesh: analysis from a prospective cohort study","volume":"14","author":"Sikder","year":"2014","journal-title":"BMC Pregnancy Childbirth"},{"key":"2025120618364268000_7.6.e013903.28","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.ijgo.2015.10.027","article-title":"A cohort study of functioning and disability among women after severe maternal morbidity","volume":"134","author":"Silveira","year":"2016","journal-title":"Int J Gynaecol Obstet"},{"key":"2025120618364268000_7.6.e013903.29","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/j.ejogrb.2014.11.041","article-title":"Health status and quality of life in postpartum women: a systematic review of associated factors","volume":"185","author":"Van der Woude","year":"2015","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2025120618364268000_7.6.e013903.30","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1186\/s12884-015-0742-6","article-title":"Sexual life and dysfunction after maternal morbidity: a systematic review","volume":"15","author":"Andreucci","year":"2015","journal-title":"BMC Pregnancy Childbirth"},{"key":"2025120618364268000_7.6.e013903.31","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0143581","article-title":"Does severe maternal morbidity affect female sexual activity and function? evidence from a brazilian Cohort Study","volume":"10","author":"Andreucci","year":"2015","journal-title":"PLoS One"},{"key":"2025120618364268000_7.6.e013903.32","unstructured":"World Health Organization. Towards a common language for functioning, disability and health: international classification of functioning, disability and Health (ICF). Geneval, Switzerland: WHO, 2002."},{"key":"2025120618364268000_7.6.e013903.33","unstructured":"WHOQOL Group. Measuring quality of life: the development of the WOrld Health Organization Quality of LIfe instrunment (WHOQOL). Geneva: WHO, 1993."},{"key":"2025120618364268000_7.6.e013903.34","doi-asserted-by":"publisher","DOI":"10.1007\/BF00422219"},{"key":"2025120618364268000_7.6.e013903.35","unstructured":"Bowling A . Measuring disease: a review of disease-specific quality of life measurement scales, second edition. Buckingham, Philadelphia: Open University Press, 2001."},{"key":"2025120618364268000_7.6.e013903.36","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-004-4773-0"},{"key":"2025120618364268000_7.6.e013903.37","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1995.03520250075037"},{"key":"2025120618364268000_7.6.e013903.38","first-page":"CD007575","article-title":"Interventions for nausea and vomiting in early pregnancy","volume":"9","author":"Matthews","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"2025120618364268000_7.6.e013903.39","unstructured":"NICE. Clinical guideline: postnatal care up to 8 weeks after birth (CG37). London, 2006 (Last updated 2015."},{"key":"2025120618364268000_7.6.e013903.40","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/j.jpsychores.2005.02.018","article-title":"The factor structure of the SF-36 in early pregnancy","volume":"59","author":"Jomeen","year":"2005","journal-title":"J Psychosom Res"},{"key":"2025120618364268000_7.6.e013903.41","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1007\/s11482-012-9188-4","article-title":"A systematic review of Quality of Life measures in pregnant and Postpartum Mothers","volume":"8","author":"Mogos","year":"2013","journal-title":"Appl Res Qual Life"},{"key":"2025120618364268000_7.6.e013903.42","doi-asserted-by":"publisher","DOI":"10.1016\/0091-2182(88)90080-8"},{"key":"2025120618364268000_7.6.e013903.43","first-page":"865","article-title":"Postnatal quality of life assessment: validation of the Mother-Generated Index","volume":"110","author":"Symon","year":"2003","journal-title":"BJOG"},{"key":"2025120618364268000_7.6.e013903.44","doi-asserted-by":"publisher","DOI":"10.1891\/jnm-v14i3a005"},{"key":"2025120618364268000_7.6.e013903.45","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdr015"},{"key":"2025120618364268000_7.6.e013903.46","doi-asserted-by":"publisher","DOI":"10.1186\/1742-4755-1-3"},{"key":"2025120618364268000_7.6.e013903.47","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1007\/s00192-010-1236-8","article-title":"Childbirth experiences of women with obstetric fistula in Tanzania and Uganda and their implications for fistula program development","volume":"22","author":"Bangser","year":"2011","journal-title":"Int Urogynecol J"},{"key":"2025120618364268000_7.6.e013903.48","doi-asserted-by":"crossref","unstructured":"Umoiyoho AJ , Inyang-Etoh EC , Abah GM , et al . Quality of life following successful repair of vesicovaginal fistula in Nigeria. Rural Remote Health 2011;11.","DOI":"10.22605\/RRH1734"},{"key":"2025120618364268000_7.6.e013903.49","doi-asserted-by":"crossref","first-page":"926","DOI":"10.1080\/17441692.2013.824018","article-title":"Profiles and experiences of women undergoing genital fistula repair: findings from five countries","volume":"8","author":"Landry","year":"2013","journal-title":"Glob Public Health"},{"key":"2025120618364268000_7.6.e013903.50","doi-asserted-by":"crossref","first-page":"945","DOI":"10.3109\/00016341003801698","article-title":"Obstetric fistula in 14,928 Ethiopian women","volume":"89","author":"Muleta","year":"2010","journal-title":"Acta Obstet Gynecol Scand"},{"key":"2025120618364268000_7.6.e013903.51","doi-asserted-by":"crossref","first-page":"1215","DOI":"10.1007\/s00192-012-1994-6","article-title":"Psychosocial impact of obstetric fistula in women presenting for surgical care in Tanzania","volume":"24","author":"Siddle","year":"2013","journal-title":"Int Urogynecol J"},{"key":"2025120618364268000_7.6.e013903.52","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2008.12.012"},{"key":"2025120618364268000_7.6.e013903.53","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0027678","article-title":"A prospective cohort study investigating associations between hyperemesis gravidarum and cognitive, behavioural and emotional well-being in pregnancy","volume":"6","author":"McCarthy","year":"2011","journal-title":"PLoS One"},{"key":"2025120618364268000_7.6.e013903.54","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1007\/s00404-013-2934-5","article-title":"Disability and psychiatric symptoms in hyperemesis gravidarum patients","volume":"289","author":"Ezberci","year":"2014","journal-title":"Arch Gynecol Obstet"},{"key":"2025120618364268000_7.6.e013903.55","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/j.ijnurstu.2009.06.012","article-title":"The Hyperemesis impact of Symptoms Questionnaire: development and validation of a clinical tool","volume":"47","author":"Power","year":"2010","journal-title":"Int J Nurs Stud"},{"key":"2025120618364268000_7.6.e013903.56","doi-asserted-by":"crossref","first-page":"79","DOI":"10.3109\/0167482X.2011.560691","article-title":"The impact of hyperemesis gravidarum on maternal mental health and maternal-fetal attachment","volume":"32","author":"McCormack","year":"2011","journal-title":"J Psychosom Obstet Gynaecol"},{"key":"2025120618364268000_7.6.e013903.57","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7211906"},{"key":"2025120618364268000_7.6.e013903.58","first-page":"586","article-title":"Urinary incontinence among pregnant Turkish women","volume":"27","author":"Erbil","year":"2011","journal-title":"Pakistan Journal of Medical Sciences"},{"key":"2025120618364268000_7.6.e013903.59","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1111\/j.1552-6909.2001.tb00010.x","article-title":"Urinary incontinence in pregnancy and the puerperium","volume":"30","author":"Spellacy","year":"2001","journal-title":"J Obstet Gynecol Neonatal Nurs"},{"key":"2025120618364268000_7.6.e013903.60","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1016\/j.ramb.2013.08.002","article-title":"Urinary incontinence in pregnant women and its relation with socio-demographic variables and quality of life","volume":"59","author":"Oliveira","year":"2013","journal-title":"Rev Assoc Med Bras"},{"key":"2025120618364268000_7.6.e013903.61","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.ejogrb.2010.02.008","article-title":"Suffering in silence: pregnant women\u2019s experience of urinary incontinence in Zaria, Nigeria","volume":"150","author":"Adaji","year":"2010","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2025120618364268000_7.6.e013903.62","first-page":"379","article-title":"Ruiz De Vinaspre Hernandez R, Tomas Aznar C, Rubio Aranda E. [Validation of the Spanish version of the short forms of the urogenital distress inventory (UDI-6) and the Incontinence Impact Questionnaire (IIQ-7) in pregnant women]","volume":"25","year":"2011","journal-title":"Gac Sanit"},{"key":"2025120618364268000_7.6.e013903.63","doi-asserted-by":"crossref","first-page":"3314","DOI":"10.1111\/j.1365-2702.2010.03421.x","article-title":"Urinary incontinence in pregnant women and their quality of life","volume":"19","author":"Koca\u00f6z","year":"2010","journal-title":"J Clin Nurs"},{"key":"2025120618364268000_7.6.e013903.64","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12643"},{"key":"2025120618364268000_7.6.e013903.65","unstructured":"Nations U . The Millennium Development Goals Report 2015. United Nations, 2015."},{"key":"2025120618364268000_7.6.e013903.66","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291796004564"},{"key":"2025120618364268000_7.6.e013903.67","doi-asserted-by":"crossref","first-page":"901","DOI":"10.1007\/s00192-013-2061-7","article-title":"Stress urinary incontinence in pregnant women: a review of prevalence, pathophysiology, and treatment","volume":"24","author":"Sangsawang","year":"2013","journal-title":"Int Urogynecol J"},{"key":"2025120618364268000_7.6.e013903.68","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/30.3.467"},{"key":"2025120618364268000_7.6.e013903.69","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1007\/s00737-009-0105-2","article-title":"Suicidality, and mother-infant interactions","volume":"12","author":"Paris","year":"2009","journal-title":"Arch Womens Ment Health"},{"key":"2025120618364268000_7.6.e013903.70","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1093\/jn\/135.4.850","article-title":"Mother-infant interactions and infant development are altered by maternal iron deficiency Anemia","volume":"135","author":"Perez","year":"2005","journal-title":"J Nutr"},{"key":"2025120618364268000_7.6.e013903.71","doi-asserted-by":"publisher","DOI":"10.1080\/0963828031000137090"},{"key":"2025120618364268000_7.6.e013903.72","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13165"},{"key":"2025120618364268000_7.6.e013903.73","unstructured":"Global Strategy for Women\u2019s, Children\u2019s and Adolescents Health 2016-2030. Every woman every child. New York: Every Woman Every Child, 2015."}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2016-013903","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,7]],"date-time":"2025-12-07T02:36:54Z","timestamp":1765075014000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2016-013903"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6]]},"references-count":73,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2017,6,30]]},"published-print":{"date-parts":[[2017,6]]}},"alternative-id":["10.1136\/bmjopen-2016-013903"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2016-013903","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,6]]}}}